2013-05-09T12:27:14-00:00 2012-12-31 Foundation Source One Hollow Lane Suite 212 Lake Success NY 11042 990PF 2012-01-01 452741468 Empire Loan Charitable Foundation EMPI 8008391754 Foundation Source 501 Silverside Rd Wilmington DE 198091377 Michael D Goldstein 2013-05-09 true Jeffrey D Haskell 8008391754 2013-05-09 2012 2016-02-24 21:20:13Z X 10347 X 64670 266 266 0 64936 266 1 1250 1250 7498 7498 8749 0 8748 86000 86000 94749 0 94748 -29813 266 40160 10347 10347 40160 10347 10347 0 X 40160 10347 40160 10347 40160 10347 40160 -29813 10347 10347 false 6100 10886 000.560353 000.560353 000.560353 33521 18784 3 18787 94748 X 3 3 3 3 false false false false false false true true true true false true false false true co Foundation Source 8008391754 501 Silverside Road Suite 123 Wilmington DE 198091377 false false false false false false false false false false false false false false false false false false false Michael D Goldstein Foundation Source 501 Silverside Rd Wilmington DE 19809 001.00 0 John Keithline Foundation Source 501 Silverside Rd Wilmington DE 19809 001.00 0 Allison Picott Foundation Source 501 Silverside Rd Wilmington DE 19809 001.00 0 0 34031 0 34031 34031 510 33521 1676 1676 3 3 1673 1673 1673 94748 94748 3 94745 1673 5843 5843 94748 1673 93075 98918 0 98918 5843 93075 NONE X ANTHONY QUINN FOUNDATION PO BOX 539 BRISTOL RI 02809 N/A 509a1 General Unrestricted 10000 BOSTON CITY LIGHTS FOUNDATION INC 1154 WASHINGTON ST BOSTON MA 02118 N/A 509a1 General Unrestricted 10000 BOYS & GIRLS CLUB OF GREATER LOWELL INC 657 MIDDLESEX ST LOWELL MA 01851 N/A 509a2 General Unrestricted 2500 COMMONWEALTH ZOOLOGICAL CORPORATION 1 FRANKLIN PARK RD BOSTON MA 02121 N/A 509a1 General Unrestricted 30000 MATTAPAN COMMUNITY HEALTH CENTER INC 1575 BLUE HILL AVE BOSTON MA 02126 N/A 509a1 General Unrestricted 25000 MERRIMACK VALLEY FOOD BANK INC 735 BROADWAY ST LOWELL MA 01854 N/A 509a1 General Unrestricted 2500 NEW URBAN ARTS 743 WESTMINSTER ST PROVIDENCE RI 02903 N/A 509a1 General Unrestricted 1000 RHODE ISLAND COMMUNITY FOOD BANK ASSOC 200 NIANTIC AVE PROVIDENCE RI 02907 N/A 509a1 General Unrestricted 5000 86000 14 266 266 266 false false false false false false false false false false X X 1 Empire Collateral Loan Co Inc 1130 Washington Street Boston MA 02118 19490 X 2 Empire Loan of New Bedford 1304 Acushnet Ave New Bedford MA 02746 11130 X 3 Empire Loan of Rhode Island Inc 358 Broad Street Providence RI 02907 21450 X 4 Empire Loan of RI North Inc 1271 North Main Street Providence RI 02904 12600 X This statement is submitted to report the distribution of certain assets during the above-referenced year. The distributions resulted in a substantial contraction of assets. The following information is submitted in accordance with Treasury Regulation Section 1.6043-3a1 and the Form 990-PF instructions During the taxable year ending December 31, 2012, Empire Loan Charitable Foundation the Foundation made distributions from assets from sources other than current income. Collectively, the distributions in excess of current income totaled 86,000. This amount represents over 25 of the Foundations net assets of 40,160 as measured by fair market value at the beginning of the Foundations taxable year ending December 31, 2012. Although the Foundation technically experienced a substantial contraction, it will continue in existence and has no plans for dissolution. The Foundation made distributions of cash to the grantees listed in the attachment to Part XV, Line 3a each such grant was made solely for the charitable purpose specified therein. Administrative Fees 7473 7473 State or Local Filing Fees 25 25 Empire Loan of New Bedford 1304 Acushnet Ave New Bedford MA 02746 Empire Loan of Rhode Island Inc 358 Broad Street Providence RI 02907 Empire Loan of RI North Inc 1271 North Main Street Providence RI 02904 Excise Tax for 2011 1